NCLEX-RN® Wilda Rinehart Diann Sloan Clara Hurd NCLEX-RN Exam Cram Publisher Copyright © 2005 by Que Publishing Paul Boger All rights reserved. No part of this book shall be reproduced, stored in a retrieval system, or transmitted by any means, electronic, mechanical, Executive Editor photocopying, recording, or otherwise, without written permission from the publisher. No patent liability is assumed with respect to the Jeff Riley use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and Acquisitions Editor author assume no responsibility for errors or omissions. Nor is any lia- bility assumed for damages resulting from the use of the information Carol Ackerman contained herein. ISBN-13: 978-0-7897-3269-9 Development Editor ISBN-10: 0-7897-3269-6 Steve Rowe Library of Congress Catalog Card Number: 2004118409 Managing Editor Printed in the United States of America Charlotte Clapp First Printing: June 2005 09 08 07 7 6 5 Project Editor Tonya Simpson Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Que Certification Indexer cannot attest to the accuracy of this information. Use of a term in this Erika Millen book should not be regarded as affecting the validity of any trademark or service mark. Proofreader NCLEX-RN®is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or Heather Waye Arle endorse this product. Technical Editors Warning and Disclaimer Kathy Persell Every effort has been made to make this book as complete and as accu- Mercy Heston rate as possible, but no warranty or fitness is implied. The information provided is on an “as is” basis. The authors and the publisher shall have neither liability nor responsibility to any person or entity with respect Publishing Coordinator to any loss or damages arising from the information contained in this Pamalee Nelson book or from the use of the CD or programs accompanying it. Multimedia Developer Bulk Sales Que Publishing offers excellent discounts on this book when ordered Dan Scherf in quantity for bulk purchases or special sales. For more information, please contact U.S. Corporate and Government Sales 1-800-382-3419 [email protected] For sales outside the United States, please contact International Sales [email protected] . We would like to thank our families for tolerating our late nights and long hours. Also, thanks to Gene Sloan for his help without pay. Special thanks to all the graduates who have attended Rinehart and Associates Review Seminars. Thanks for allowing us to be a part of your success. About the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wilda Rinehart received her associate degree in nursing from Northeast Mississippi Community College in Booneville, Mississippi. After working as a staff nurse and charge nurse, she became a public health nurse and served in that capacity for a number of years. In 1975, she received her Nurse Practitioner Certification in obstetric-gynecology from the University of Mississippi Medical Center in Jackson, Mississippi. In 1979, she completed her bachelor’s of science degree in nursing from Mississippi University for Women and the following year completed her master’s degree in nursing from the same university. In 1980, Ms. Rinehart accepted a faculty position at Northeast Mississippi Community College where she has taught medical- surgical nursing and obstetrical nursing. In 1982, she founded Rinehart and Associates Educational Consults. For the past 22 years, she and her associ- ates have worked with nursing graduates and schools of nursing to assist graduates to pass the National Council Licensure Exam for Nursing. She has also worked with faculty who want to improve their item writing skills and as a curriculum consultant. Ms. Rinehart has served as a convention speaker throughout the southeastern United States and as a reviewer of medical- surgical and obstetric text. She has coauthored NCLEX® review materials and is presently working on DVD and CD review programs. As president of Rinehart and Associates, she serves as coordinator of a company dedicated to improving the quality of health through nursing education. Dr. Diann Sloan holds an associate degree in nursing from Northeast Mississippi Community College, a bachelor’s degree in nursing from the University of Mississippi, and a master’s degree in nursing from Mississippi University for Women. In addition to her nursing degrees, she holds a mas- ter of science in education degree in counseling psychology from Georgia State University and a doctor of philosophy degree in counselor education, with minors in both psychology and educational psychology, from Mississippi State University. She has completed additional graduate studies in healthcare administration at Western New England College and the University of Mississippi. As a nurse educator, Dr. Sloan has taught pediatric nursing, psychiatric men- tal health nursing, and medical surgical nursing in both associate degree and baccalaureate nursing programs. As a member of Rinehart and Associates Nursing Review, Dr. Sloan has conducted test construction workshops for faculty and nursing review seminars for both registered and practical nurse graduates. She has coauthored materials used in the item writing workshops for nursing faculty and Rinehart and Associates Nursing Review. She is a . member of Sigma Theta Tau nursing honor society. Clara Hurd is an associate degree nurse graduate of Northeast Mississippi Community College in Booneville, Mississippi (1975). Her experiences in nursing are clinically based, having served as a staff nurse in medical-surgical nursing. She has worked as an oncology, intensive care, orthopedics, neuro- logical, and pediatric nurse. She received her bachelor of science degree in nursing from the University of North Alabama in Florence, Alabama, and her master’s degree in nursing from the Mississippi University for Women in Columbus, Mississippi. She is currently serving as a nurse educator at Northeast Mississippi Community College teaching medical-surgical con- tent. Ms. Hurd has taught in both associate degree and baccalaureate nurs- ing programs. She was a faculty member of Mississippi University for Women; Austin Peay State University in Clarksville, Tennessee; and Tennessee State University in Nashville, Tennessee. Ms. Hurd joined Rinehart and Associates in 1993. She has worked with students in preparing for the National Council Licensure Exam and with faculty as a consultant in writing test items. Ms. Hurd has also been a presenter at nursing conventions on various topics, including item writing for nursing faculty. Her primary professional goal is to prepare the student and graduate for excellence in the delivery of healthcare. We Want to Hear from You! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . As the reader of this book, youare our most important critic and commenta- tor. We value your opinion and want to know what we’re doing right, what we could do better, what areas you’d like to see us publish in, and any other words of wisdom you’re willing to pass our way. As an executive editor for Que Publishing, I welcome your comments. You can email or write me directly to let me know what you did or didn’t like about this book—as well as what we can do to make our books better. Please note that I cannot help you with technical problems related to the topic of this book. We do have a User Services group, however, where I will forward specific tech- nical questions related to the book. When you write, please be sure to include this book’s title and author as well as your name, email address, and phone number. I will carefully review your comments and share them with the author and editors who worked on the book. Email: [email protected] Mail: Jeff Riley Executive Editor Que Publishing 800 East 96th Street Indianapolis, IN 46240 USA For more information about this book or another Que Certification title, visit our Web site at www.examcram2.com. Type the ISBN (excluding hyphens) or the title of a book in the Search field to find the page you’re looking for. This page intentionally left blank Contents at a Glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Introduction xxiv Self-Assessment xxix Chapter 1 Preparing for the National Council Exam for Registered Nurses 1 Chapter 2 Simplifying Pharmacology 13 Chapter 3 Caring for the Client with Disorders of the Respiratory System 43 Chapter 4 Caring for the Client with Disorders of the Renal and Genitourinary System 57 Chapter 5 Caring for the Client with Disorders of the Hematopoietic System 69 Chapter 6 Caring for the Client with Disorders of Fluid and Electrolyte Balance and Acid/Base Balance 79 Chapter 7 Caring for the Client with Burns 93 Chapter 8 Caring for the Client with Sensorineural Disorders 111 Chapter 9 Caring for the Client with Cancer 129 Chapter 10 Caring for the Client with Disorders of the Gastrointestinal System 147 Chapter 11 Caring for the Client with Disorders of the Musculoskeletal System 173